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Jacks Enterprises-Dothan Inc

Community/Retail Pharmacy in Dothan, AL · enumerated 2006 · authorized official Matthew Dixon, Business Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1215098033

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Registry record

Entity type Organization (Type 2)
Legal business name Jacks Enterprises-Dothan Inc
Other name <Unavail>
Practice address 1909 Honeysuckle Rd, Dothan, AL, 36305
Phone (334) 836-0890
Fax (334) 836-0894
Enumeration date Dec 13, 2006
Last updated in NPPES May 18, 2026

Taxonomy & classification

333600000X Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License 112613 (AL) Primary

Authorized official

Name Matthew Dixon
Title Business Manager
Phone (334) 836-0890

Other identifiers

Identifier Type State Issuer
100003604 Medicaid AL -
0132857 Other - NCPDP PROVIDER IDENTIFICATION NUMBER

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Jacks Enterprises-Dothan Inc?
NPPES lists Matthew Dixon (Business Manager) as the authorized official for this organization.
What is the NPI number for Jacks Enterprises-Dothan Inc?
The NPI for Jacks Enterprises-Dothan Inc is 1215098033, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-05-18.